nail client record form

Professional Nail Service Intake and Consent Form

Instructions for Use

• Complete all sections of this form prior to the commencement of any service to ensure proper documentation of your nail health and service history.
• Ensure the client has reviewed and initialed each numbered clause to confirm their understanding of service risks and salon policies.
• Maintain this document in a secure, confidential client file in compliance with local data privacy regulations.

Parties and Client Information

This agreement is entered into by and between [Salon/Business Name] ("Service Provider") and the undersigned ("Client").

Client Details: Full Legal Name: [] Date of Birth: [] Phone Number: [] Email Address: [] Emergency Contact Name & Phone: [__________]

Operative Clauses

1. Medical History and Contraindications: The Client represents that they have disclosed all relevant medical conditions, including but not limited to diabetes, blood thinning medication use, fungal infections, open wounds, or allergies to acrylics, gels, or chemical solvents. The Client agrees to notify the Service Provider of any changes to their health status prior to future appointments.

2. Service Consent: The Client acknowledges that nail services involve the use of chemical products and mechanical tools. The Client voluntarily assumes all risks associated with these services, including potential skin irritation, nail plate damage, or allergic reactions.

3. Infection Control: The Service Provider confirms that all metal implements are sterilized in accordance with [State/Local Board] regulations. The Client acknowledges that they have the right to request a fresh set of implements at any time.

4. Aftercare Acknowledgment: The Client understands that the longevity of the service is dependent on proper aftercare. The Service Provider is not liable for damage caused by improper maintenance, picking, biting, or exposure to harsh chemicals.

5. Cancellation and No-Show Policy: The Client agrees to provide [Number] hours' notice for cancellations. Failure to provide notice may result in a fee of $[Amount] or forfeiture of deposits.

6. Liability Waiver: To the fullest extent permitted by law, the Client hereby releases the Service Provider, its owners, and employees from any and all claims, demands, or causes of action arising out of or related to any loss, damage, or injury that may be sustained by the Client while on the premises or as a result of the services provided.

Acknowledgments and Signature

[ ] I have read and understand the terms above. [ ] I confirm that the medical information provided is accurate and complete.

Signature: __________ Printed Name: [] Title (if applicable): [] Date: [__________]

Legal Disclaimer: This document is a general framework and does not constitute legal advice. Please consult with qualified legal counsel to ensure compliance with specific state, provincial, or local regulations governing beauty services and liability waivers.